Summary
Reliable perineal and posterior vaginal wall restoration following extensive abdominoperineal
excision or pelvic exenteration is a reconstructive challenge, especially if the rectus
abdominis is unavailable or insufficient for transpelvic transposition. In this short
report, we present a novel combined perforator-based technique, in which an inferior
gluteal perforator flap is used for perineal reconstruction whereas vaginal reconstruction
is performed simultaneously by means of a pudendal artery perforator flap. This procedure
circumvents functional muscle loss, permits a tension-free closure of difficult three-dimensional
defects and offers a high degree of reconstructive flexibility, which allows a straightforward
and independent reconstruction of two different anatomical units.
Keywords
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References
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Article info
Publication history
Published online: June 04, 2012
Accepted:
April 30,
2012
Received:
December 13,
2011
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
